Monica Anne Moore, MA L.L.P.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301009529 Issued in MI

Practice address

18940 Oak Dr
Detroit, MI 48221-2264

Phone

(313) 268-7709

NPI assigned

Dec 22, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1699004614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18940 OAK DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212264",
            "telephone_number": "313-268-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18940 OAK DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212264",
            "telephone_number": "313-268-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MONICA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MA L.L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301009529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marquesa Luvenia Moore, MD
• Michael Allen Moore, D.M.D
• Michael David Moore, M.A., L.L.P.C.
• Michael Thomas Moore, PA-C
• Michelle Lynn Moore, NP
• Moriah Jean Moore, DO
• Mykah Amarie Moore
• Nolan Keith Moore, LPC
• Rachelle Elizabeth Moore, MD
• Rebecca Ruth Moore

• Psychologist in Detroit, MI
• Providers in Detroit, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.